Uptake of core outcome sets in pediatric clinical trials: a protocol

Author:

Lei Ruobing1,Estill Janne2,Florez Ivan3,Li Qiu4,Chen Yaolong5,Williamson Paula6

Affiliation:

1. Chevidence Lab of Child & Adolescent Health, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaMRC-NIHR Trials Methodology Research Partnership, Department of Health Data Science, University of Liverpool, Liverpool, UK

2. Institute of Global Health, University of Geneva, Geneva, Switzerland School of Basic Medical Sciences, Lanzhou University, Lanzhou, China

3. Department of Pediatrics, University of Antioquia, Medellin, Colombia School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada Pediatric Intensive Care Unit, Clínica Las Américas-AUNA, Medellín, Antioquia, Colombia

4. Department of Nephrology, Children's Hospital of Chongqing Medical University, Chongqing, China

5. Chevidence Lab of Child & Adolescent Health, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children’s Hospital of Chongqing Medical University, Chongqing, China

6. MRC-NIHR Trials Methodology Research Partnership, Department of Health Data Science, University of Liverpool, Liverpool, UK

Abstract

Abstract

Introduction A growing number of pediatric core outcome sets (COS) have been developed in the past 20 years. Previous studies have provided many useful insights into the uptake of COS. In addition to the awareness of COS among clinical trialists, some methodology of COS development (especially patient involvement) can promote COS uptake. However, the uptake of COS in pediatric clinical trials needs to be further explored. The aim of this study is to provide information on the rationale and use of pediatric COS in clinical trials, and to analyze in depth the awareness and views of COS developers and clinical trialists about the development and use of COS. Methods and analysis We will include all pediatric COS identified in our previous systematic review and those subsequently included in the COMET database. We will extract the data including the target condition, population, intervention, list of core outcomes, and the details of patient involvement. Next, we will search Clinicaltrials.gov for trials on health conditions addressed by the identified COS. The comparability of the scopes in each COS-trial pair and for the outcomes in each clinical trial that are exact matches, general matches, and non-matches with outcomes in each relevant COS will be assessed. Finally, we will conduct a survey and semi-structured interviews among COS developers and clinical trialists to examine their views. Ethics and dissemination Ethical approval for the study has been granted by the ethics committee of the Lanzhou University. Strengths and limitations of the proposed study The uptake of pediatric COS will be presented and analyzed in a comprehensive manner through comparative analysis of the literature and a combination of quantitative and qualitative methods. There will be language restrictions in the selection of the studies, and the survey and interview sample will include only subjects speaking English or Chinese. Both restrictions may limit the generalizability of our results.

Publisher

Research Square Platform LLC

Reference15 articles.

1. Core Outcome Measures in Effectiveness Trials COMET INITIATIVE. https://www.comet-initiative.org/

2. Core Outcome Set-STAndards for Development: The COS-STAD recommendations;Kirkham JJ;PLoS Med Nov,2017

3. A systematic review of studies that aim to determine which outcomes to measure in clinical trials in children;Sinha I;PLoS Med Apr,2008

4. Core Outcome Sets in Child Health: A Systematic Review [J];Lei R;JAMA Pediatr,2022

5. Review finds core outcome set uptake in new studies and systematic reviews needs improvement;Williamson PR;JCE,2022

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